HomeMy WebLinkAbout2563 Wellspring St; ; CBR2018-0563; Permit( City of
Carlsbad
Residential Permit
Print Date: 09/19/2018 Permit No: CBR2018-0563
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
Applicant:
2563 Wellspring St
BLDG-Residential
2081914000
$24,099.40
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
WILLIAMS: 460 SF POOL & SPA// STUB OUT FOR BBQ
Owner:
Pool
CARRIE JONES COOWNER WILLIAMS ALFRED D AND
JENNIFER L
619-884-3891
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
2563 Wellspring St
CARLSBAD, CA 92010
ELECTRICAL 8LDG RESIOENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1 -Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $809.75 Total Payments To Date: $8D9.75
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Inspection:
Contractor:
PRP AQUATICS !NC
5431 Avenida Encinas, B
Carlsbad, CA 92008-4411
916-743-2290
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Closed -Finaled
03/06/2018
03/15/2018
TFraz
9/19/2018 1:43:53PM
$0.00
$248.01
$173.61
$41.00
$49.DO
$1.0D
$3.13
$238.0D
$56.DO
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
..
f c·cityof
Carlsbad
JOB ADDRESS
CT/PROJECT#
EXISTING USE
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave .• Carlsbad. CA 92008
Ph: 780-602-2719 Fax: 760-602-8558
email: bullding@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date 3
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME
PATIOS (SF) DECKS (SF)
STATE ZIP
FAX
STATE LIC. #
tct\ . -L\P
cof\j"§TR:TYPE
AIR CONDITIONING
YES D NOD
FIRE SPRINKLERS
YES D NOD
(Sec. 7031.5 Business and P.rofessions Code: Any City or Coun_ty which requires a permit to c_onstruct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 70_00 of Division 3 of the B_usmess and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a
c1v1I penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations:
This section need not be completed iflhe permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure orkers' compensation cov s unlawful, and shall subject an employer to crimin I penalties and civil fines up to one hundred thousand dollars (& 100,000), in
addition to the cost of compensation, da a as provided fol"<irl S er 06 of e Labor code, interest and attorney's fee
A5 CONTRACTOR SIGNATURE \
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale)
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Section ___ _ Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement D Yes D No
2. I (have I have not) signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number)·
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
_.,,g PROPERTY OWNER SIGNATURE Cl AGENT DATE
' ~
.:OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registralion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to oomplywith all City ordinances and State laws relating to buildingoonstructlon.
I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations CNef 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued b the Building Official under the provisions of this Code shall expire by limitatiOn and become null and void if the building or work authorized by such pennit is not commenced within
180 days from the date of such p if the building or authorized such permit is suspended or abandoned at any time after the worK is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
,f!$ APPLICANT'S SIGNATURE DATE
Pcnnit Type: BLDG-Residential Application Date: 03/06/2018
Work Class: Pool Issue Date: 03/15/2018
Status: Closed -Finaled Expiration Dato: 03/11/2019
Scheduled
Date
Actual
Start Date
06/11/2018 06/11/2018
08/03/2018 08/03/2018
09/10/2018 09/10/2018
IVR Number: 9915
Inspection Type Inspection No.
BLDG-SW-Pre-Con 058660-2018
Checklist Item
BLDG-Building Deficiency
BLDG-51
Excav/Steel(Pools)
060558-2018
Checklist Item
BLOG-Building Deficiency
BLDG-54
Equipotential
Bond(Pools)
BLDG-55
Fence/Preplaster
065897-2018
069453-2018
Checklist Item
Inspection Status
Passed
COMMENTS
Passed
COMMENTS
Passed
Passed
COMMENTS
Owner:
Subdivision:
Adt.lress:
Primary Inspector
Chris Renfro
Chris Renfro
Chris Renfro
Tim Frazee
BLDG-Building Deficiency Alarms (3) OK gate closes properly
09/19/2018 09/18/2018
September 19, 2018
BLDG-Final
Inspection
070251-2018
Checklist ltcn1
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Tim Frazee
COMMENTS
COOWNER WILLIAMS ALFRED D
AND JENNIFER L
2563 Wellspring St
Carlsbad, CA 92010-5604
Reinspection
Passed
Yes
Passed
Yes
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Complete
Complete
Complete
Page 2 of 2
' G ;, ~
PERMIT IN~PECTIQtl,fllSTOR'1(,REPORT (~$2018-4)563) , , ,
Permit Type: BLDG-Residential Application Date: 03/06/2018 Owner: COOWNER WILLIAMS ALFRED D
Work Class:
Status:
Scheduled
Date
Pool
Closed -Finaled
Actual
Start Date Inspection Type
Issue Date: 03/15/2018
Expiration Date· 03/11/2019
lVR Number: 9915
Inspection No. Inspection Status
AND JENNIFER L
Subdivision:
Address: 2563 Wellspring St
Carlsbad, CA 92010-5604
Primary Inspector Re inspection Complete
---------------------
05/23/2018 05/23/2018
September 19, 2018
BLDG-SW-lnspectio
n
058541-2018
Checklist Item
Are inactives slopes properly
stabilized?
Are areas flatter than 3: 1
covered or protected?
Are sediment controls properly
maintained?
Are erosion control BMPs
functioning properly?
Are natural areas protected
from erosion?
Do basins appear to be
maintained as required?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Are storm drain inlets
protected and maintained?
Have materials collected
around the storm drains?
Has sediment accumulated on
impervious surfaces?
Are dumpsters and trash
receptacles covered?
Has trash/debris accumulated
throughout the site?
Are stockpiles and spoils
protected from runoff?
Are all storage areas clean and
maintained?
Are spill kits provided onsite?
Are washout areas maintained
and protected?
Were spills/leaks observed
during the inspection?
Were there any discharges
during the inspection?
Is the SWPPP wall map up to
date and accurate?
Was the S\/\IPPP or Erosion
Control Plan reviewed?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
Are BMPs stockpiled for
emergency deployment?
Passed
COMMENTS
Chris Renfro
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Complete
--------------·-----
Page 1 of 2
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP Q1:>R2018 -0~3
STORM WATER POLLUTION PREVENTION NOTES BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Slorm Water Waste Management and Materials
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE BMPs Control BMPs Management BMPs Pollution Control BMPs
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION C:
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN C: C: 0 --0 0 :;:; C: C: --0 :;:; :;:; c> 0 " --0 " --0 IS EMINENT. ., C: u u C: c> E C: E C: -0 -::, ::, .Q .~ .E .9-0 0 0 E <I) L L ---0 " " TIHE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION :::. --0 ., c> ' L --.E "-::, >, c> -2. C: <I) L C: -~ c ., ., ., 0 0-L 0 C: ., <I)
c> C. <I) -C: ., C: > L L ., 0 0 -Best Management Practice* ~ C: 0'5 0 CD ·c. L 0 " 8 L c., <I) w > C: :;:; 3:-.,
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION :c ., " .,
>-'= " 0 C: " -~ <I) 0 -o-
C: UL ., --0 ., ~ ., C: C: ;i:: C:
(BMP) Description ~ ., u ., en ·e E .!!! c> " c> CD •5 C c> C: --0 ., i C: Cl :::. -" ., <I) " OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING ~ " 0 " C: C: C: :::,
=i ~ Q) u -0 0 LO --0 w --0 >, 0 ., 0 ., [!l E ::, E ., E :;:; 5i Cl CD en·-c> Cl+' ., ....... u 1l Co c> .,
RAINFALL. X :::. Cl c> Cl ~ "" E 0 N u, i!:l 0 CJ):;:; .,
" C:
0., 0 = L-3: " 0 <I) -" <I) 0 E -" 1? -::, ..c E :;J = gJ =" ~:;:; :;, 13 ·c: ·-c> ·.::: ~ c.. e c> --0 c> ~ c> ---0 .c: C: ., u ~ " ::, --0 ·---0 C: 0 0 ~e ., u ----0 0 60 uo t·a C. 'i5 ~u L-..C L ..c 0 -" -~ & ·-0
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION 0 0 -" e C: 00 .3 c> .3 0 00 -.c: <I) -o -0 = C !§ § N C: C: C:
<I) 0 CL 0 = " .c: ~ -0 0 -L 3: ct 0 ~o o-0 -C.0 co oo
c., ;i:: WCI vi en en u c., en> en enc.. en c: en"" C..0 c.. :::. en :::. en enu en:::. :,: :::. u:::.
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR CASQA Designation ~ ,..._ ex, -.... a N "' ,..._ ex, N "' .... LO <D ex, a, 'T "' LO <D ,..._ co 'T 'T I I I
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. I I I I I I I I I I I I I I I I I I I
/ Construction Activity u u u u w w w w w w w w ~ ~ en en en en :::. :::. i i :::. i i w w w w en en en en en en en en z z z z 3: 3: 3:
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE I P.radinn /Soil Disturbance /
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) I ,ltenchina/Excavatian /
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ; Stockcilina
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER Drillina /Borina
EACH RAINFALL. Concrete/Aschalt Sawcuttina ~
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
, ·, :nncrete Flatwork /
J'avina AGGREGATE. · Conduit/Pice Installation
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER .l5tucco/Mortar Work
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST Waste Discosal , ~
BE INSTALLED AND MAINTAINED. Staqina /Lay Down Area
Eauioment Maintenance and Fuelina
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER Hazardous Substance Use/Storaae
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED Dewaterina
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY Site Access Across Dirt
REGULATIONS. Other (list l:
Instructions:
1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresflonding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check he box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION PROJECT INFORMATION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
Site Address: (Qtp d{b3 We ll~Q'd ~ .. f;\ THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, Assessor's Parcel Number: c;;be-n \ -l(,o -~
COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES Emergency Conruw
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED Name: 0 ::fe g')/1 AJJ
BY THE CITY OF CARLSBAD.
06-v' 11-e.. :so~ s 24 Hour Phone: ~ -~ 1 b ,CJtme
OWNER(S)/OWNER'S AGENT NAME (PRINT) Construction Threat to Storm Water Quality
OWNER?s;;~&:s tGENT NAME (SIGNATURE)
3-15-,~ (Check Box)
DATE MEDIUM 0 LOW
E-29 Page 1 of 1 REV 11/17